Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Dawn Ennis, LCSW

Individual provider Clinical Social Worker · NPI 1508138199

Kimberly Dawn Ennis, LCSW is a Clinical Social Worker in Grimesland, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2012
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

513 Lancelot St
Grimesland, NC 27837-0567
Phone: (252) 847-2214
Fax: (252) 847-7492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C006251 (NC)

Record details

NPI number1508138199
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 30, 2012
Last updated in NPPESJanuary 30, 2012

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